IndividualActive
Michael Kotlicky, O.D.
NPI 1093889024 · Vision Therapy Optometrist · Columbia, MD
Provider details
- NPI number
- 1093889024
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- TA0750 (MD)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
8827 Columbia 100 Pkwy Ste 3
The Signature Centre
Columbia, MD 21045-2178
Phone: (410) 730-5808
Fax: (410) 730-5893
Approximate (ZIP-level) locationGet directions
Mailing address
8827 Columbia 100 Pkwy Ste 3
Columbia, MD 21045-2178
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.